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SAPPHIRE ADULT HEALTH NP, P.C.

Company Details

Name: SAPPHIRE ADULT HEALTH NP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Jul 2021 (4 years ago)
Entity Number: 6233096
ZIP code: 12589
County: Orange
Place of Formation: New York
Address: 3 GERRI COURT, WALLKILL, NY, United States, 12589

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE PROFESSIONAL CORPORATION DOS Process Agent 3 GERRI COURT, WALLKILL, NY, United States, 12589

National Provider Identifier

NPI Number:
1386303303
Certification Date:
2021-12-17

Authorized Person:

Name:
MS. SHAVONN CRYSTAL STALLINGS
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
261QC1500X - Community Health Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210802000624 2021-07-30 CERTIFICATE OF INCORPORATION 2021-07-30

Date of last update: 21 Mar 2025

Sources: New York Secretary of State